Reconstruction of esophageal defects with microsurgically revascularized jejunal segments: a report of 13 cases.
Experimental free transfer of a jejunal segment to a recipient bed in the neck was successfully performed in 5 mongrel dogs. This was followed by clinical application of 2 different microvascular procedures in 13 patients for repair of esophageal defects. In 7 of these patients a free jejunal transfer was used; in 6 of these patients a pedicled jejunal graft with revascularization of its distal end by microvascular anastomosis was used. The esophageal defects were located in the cervical portion in 7 cases, the cervicothoracic portion in 5 cases, and the thoracic portion in 1 case. Ten (77%) of the 13 procedures were successful.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002057:Burns, Chemical / Q000150:complications; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D002648:Child; D004750:Enteral Nutrition; D004938:Esophageal Neoplasms / Q000601:surgery*; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000601:surgery*; D004944:Esophagoplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000098:blood supply / Q000637:transplantation*; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011182:Postoperative Care; D014182:Transplantation, Autologous